Distance Learning Registration    * Denoted Required Fields *First Name: $ *Last Name: $ Date of Birth: Day12345678910111213141516171819202122232425262728293031MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYear202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900 $ Professional Credentials (for CE credit): $ *Address: $ *City: $ *State/Province: $ *Zip/Postal Code: $ *Country: Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Cote d’Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia, The Gaza Strip Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong S.A.R. 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($499) Are you a member of A.H.N.A. ($499) Are you a member of A.A.T.H. ($499) Are you a member of I.S.H.S. ($499) Not Applicable -88 $ Select your book options: Good Hearted Living - Steve Wilson, included +S/H $ Laughter: A Scientific Investigation - Robert Provine, included +S/H $ Compassionate Laughter - Patty Wooten, included +S/H $ Study Guide & Reference Manual (required) - OPTIONS: *Choose Download or Hard Copy Download Version: I want to download the “WLT Study Guide & Reference Manual” now to get started learning the most current information about this innovative method. The price of the download version is included with standard tuition. I understand that I am responsible for printing out the Study Guide and bringing it to the workshop. I have the option of printing it out or bringing it on a laptop computer. Instructions and pass code will be sent via e-mail after registration is processed. Check “I Agree” below $ Hard Copy: I prefer to purchase the printed, coil-bound, hard copy of the “WLT Study Guide and Reference Manual”, to be delivered to me at the workshop, for included. $ BOTH: I will download the “WLT Study Guide and Reference Manual” now to get started, AND purchase the hard copy to be delivered to me at the workshop, for included. $ *Customer acknowledges and agrees that the materials being downloaded and/or delivered as hard copy are protected by copyright and that any unauthorized use, reproduction, dissemination of the materials, in whole or in part, is a violation of Customer's agreement with World Laughter Tour, Inc. and a violation of Title 17 of the United States Code. I understand that I am responsible for printing out the Study Guide and bringing it to the workshop. I have the option of printing it out or bringing it on a laptop computer. I agree $ Continuing Education Credit - Check all that apply $35.00 per CE certificate Activity Professionals (11 hours) 35 $ License # $ Nurses (12 contact hours) 35 $ License # $ Case Managers (12 contact hours) 35 $ License # $ Social Workers (11 hours) 35 $ License # $ Name as it should appear on certificate $ Distance Learning Registration Price: $549.00 Add to cart Add to Wishlist Category: Uncategorized Customers Also Bought: Advanced Workshop 2019 $110.00 – $440.00 Select options
